Transcervical dissection of metastatic suprahyoid retropharyngeal lymph nodes from papillary thyroid carcinoma through three anatomical barriers

Chen, S.; Yang, Huan; Su, Xuan; Yang, Ankui; Liu, W.

doi:10.1016/j.ijom.2020.06.022

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…A total of 5 studies reported solely on the transcervical approach to the RPLN. 18 - 22 Another study by Harries et al 23 presented all 3 approaches to the RPLN with the majority of patients undergoing a transcervical approach.…”

Section: Resultsmentioning

confidence: 99%

“…Bilateral dissection was not performed in any patient, including in the setting of bilateral disease. 23 Retropharyngeal nodal sizes were presented in 4 studies; Togashi et al 18 reported a median size of 23 mm (range 12-37), Chen et al 19 reported a nodal range of 13 to 28 mm, Otsuki et al 20 reported a nodal range of 7 to 40 mm, and Harries et al 23 reported a median size of 2.0 (0.8-4.2) cm. Retropharyngeal nodal sizes in most studies were based on preoperative imaging, with only the study by Togashi et al 18 reporting pathological nodal size.…”

Section: Resultsmentioning

confidence: 99%

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A Comparison of Transoral Versus Transcervical Surgical Approaches to Retropharyngeal Lymphadenectomy: A Scoping Review

Tzelnick,

Tsai,

Hosni

et al. 2024

Journal of Otolaryngology - Head & Neck Surgery

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Importance A gap in knowledge exists concerning the functional outcomes and complications when comparing various surgical approaches for retropharyngeal lymph node (RPLN) metastases. Objective To explore perioperative outcomes, functional outcomes, and complications associated in the treatment of RPLN metastases Design The Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) protocol was used to conduct a scoping review of the PubMed and Scopus databases Review Methods We systematically searched 2 databases from inception to January 2023 for articles examining the treatment approaches and postoperative outcomes in the retropharyngeal space. We included English records about surgical approaches, complications, functional outcomes for patients >18 years old with retropharyngeal lymphadenopathy. Results One-hundred ninety-nine articles were identified, of which 17 were included in the analysis. Three studies assessed RPLN dissection in the postradiation setting. We identified limited knowledge about functional outcomes and complications following surgery for retropharyngeal lymphadenopathy. Overall, acute postoperative dysphagia was documented in 35/170 patients (20.5%). However, the assessment of dysphagia was limited, and not described in the majority of studies. The overall rate of postoperative neuropathy and hematoma were 4.1% and 4.7%, respectively. No postoperative hematomas were documented in the transcervical approach. Conclusion Our findings underscore the need for further research on postoperative outcomes following RPLN dissection. We recommend further studies focusing on objective swallow assessments and long-term outcomes of either surgical approaches.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A Comparison of Transoral Versus Transcervical Surgical Approaches to Retropharyngeal Lymphadenectomy: A Scoping Review

Tzelnick,

Tsai,

Hosni

et al. 2024

Journal of Otolaryngology - Head & Neck Surgery

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Different surgical approaches in retropharyngeal lymph nodes dissection in head and neck cancer: A systematic review

et al. 2023

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Papillary Thyroid Carcinoma with Extensive Cervical Lymph Node Metastasis and Initial Retropharyngeal Lymph Node Metastasis: A Case Report and Literature Review

et al. 2022

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Papillary thyroid carcinoma (PTC) is prone to regional lymph node metastasis, which is more common in central lymph nodes and lateral cervical lymph nodes, and retropharyngeal lymph node metastasis (RLNM) is extremely rare. A male with PTC presented with extensive cervical lymph node metastasis and the initial RLNM. After full evaluation by preoperative imaging examination, the patient underwent total thyroidectomy + left central lymph node dissection + left neck lymph node dissection (II III IV V) + left retropharyngeal tumor resection, and the postoperative recovery was good without recurrence long-term complications, and no local recurrence and metastasis were found during one-year follow-up.

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Transcervical dissection of metastatic suprahyoid retropharyngeal lymph nodes from papillary thyroid carcinoma through three anatomical barriers

Cited by 3 publications

References 17 publications

A Comparison of Transoral Versus Transcervical Surgical Approaches to Retropharyngeal Lymphadenectomy: A Scoping Review

A Comparison of Transoral Versus Transcervical Surgical Approaches to Retropharyngeal Lymphadenectomy: A Scoping Review

Different surgical approaches in retropharyngeal lymph nodes dissection in head and neck cancer: A systematic review

Papillary Thyroid Carcinoma with Extensive Cervical Lymph Node Metastasis and Initial Retropharyngeal Lymph Node Metastasis: A Case Report and Literature Review

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